• Title/Summary/Keyword: graduate medical education

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National Petition Analysis Related to Nursing: Text Network Analysis and Topic Modeling (간호관련 국민청원 분석: 텍스트네트워크 분석 및 토픽모델링)

  • Ko, HyunJung;Jeong, Seok Hee;Lee, Eun Jee;Kim, Hee Sun
    • Journal of Korean Academy of Nursing
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    • v.53 no.6
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    • pp.635-651
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    • 2023
  • Purpose: This study aimed to identify the main keyword, network structure, and main topics of the national petition related to "nursing" in South Korea. Methods: Data were gathered from petitions related to the national petition in Korea Blue House related to the topic "nursing" or "nurse" from August 17, 2017, to May 9, 2022. A total of 5,154 petitions were searched, and 995 were selected for the final analysis. Text network analysis and topic modeling were analyzed using the Netminer 4.5.0 program. Results: Regarding network characteristics, a density of 0.03, an average degree of 144.483, and an average distance of 1.943 were found. Compared to results of degree centrality and betweenness centrality, keywords such as "work environment," "nursing university," "license," and "education" appeared typically in the eigenvector centrality analysis. Topic modeling derived four topics: (1) "Improving the working environment and dealing with nursing professionals," (2) "requesting investigation and punishment related to medical accidents," (3) "requiring clear role regulation and legislation of medical and nonmedical professions," and (4) "demanding improvement of healthcare-related systems and services." Conclusion: This is the first study to analyze Korea's national petitions in the field of nursing. This study's results confirmed both the internal needs and external demands for nurses in South Korea. Policies and laws that reflect these results should be developed.

Endoscopic versus surgical management for colonic volvulus hospitalizations in the United States

  • Dushyant Singh Dahiya;Abhilash Perisetti;Hemant Goyal;Sumant Inamdar;Amandeep Singh;Rajat Garg;Chin-I Cheng;Mohammad Al-Haddad;Madhusudhan R. Sanaka;Neil Sharma
    • Clinical Endoscopy
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    • v.56 no.3
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    • pp.340-352
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    • 2023
  • Background/Aims: Colonic volvulus (CV), a common cause of bowel obstruction, often requires intervention. We aimed to identify hospitalization trends and CV outcomes in the United States. Methods: We used the National Inpatient Sample to identify all adult CV hospitalizations in the United States from 2007 to 2017. Patient demographics, comorbidities, and inpatient outcomes were highlighted. Outcomes of endoscopic and surgical management were compared. Results: From 2007 to 2017, there were 220,666 CV hospitalizations. CV-related hospitalizations increased from 17,888 in 2007 to 21,715 in 2017 (p<0.001). However, inpatient mortality decreased from 7.6% in 2007 to 6.2% in 2017 (p<0.001). Of all CV-related hospitalizations, 13,745 underwent endoscopic intervention, and 77,157 underwent surgery. Although the endoscopic cohort had patients with a higher Charlson comorbidity index, we noted lower inpatient mortality (6.1% vs. 7.0%, p<0.001), mean length of stay (8.3 vs. 11.8 days, p<0.001), and mean total healthcare charge ($68,126 vs. $106,703, p<0.001) compared to the surgical cohort. Male sex, increased Charlson comorbidity index scores, acute kidney injury, and malnutrition were associated with higher odds of inpatient mortality in patients with CV who underwent endoscopic management. Conclusions: Endoscopic intervention has lower inpatient mortality and is an excellent alternative to surgery for appropriately selected CV hospitalizations.

The Relationship Between High School Teachers Health Perception and Health Promotion Behavior (고등학교 교사의 건강지각과 건강증진행위의 관계)

  • Kim, Dong-Hwan;Park, Young-Soo
    • The Journal of Korean Society for School & Community Health Education
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    • v.4
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    • pp.21-41
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    • 2003
  • The purposes of this study were to ; first, investigate High School Teachers health promotion behavior types; second, explore the effects High School Teachers perceived benefits and perceived barriers have on their health promotion behavior ; third, suggest a desirable course that will increase teachers health. To this end, this researcher conducted a survey on health promotion behavior, perceived benefits, and perceived barriers to 329 High School teachers working in Goyang-si, Gyonggi-do. The results of the survey are as follows: Health Promotion Behavior A closer look at high school teachers health promotion behavior shows that male teachers, compared with female teachers, more actively promote their health. However, female teachers are more aware of their personal hygiene and disease risks. Older teachers, rather than younger teachers, are more willing to promote their health through better eating habits and more frequent exercise. A comparison between married and single teachers revealed that married teachers promote their health through better eating habits, and single teachers receive less stress and are better at managing their stress. Teachers working in technical high schools are better at managing their stress and personal hygiene than academic high schools teachers. Teachers working after 8 o'clock show better health promotion behavior through proper eating habits, stress management, regular exercise, disease prevention: however, teachers working before 7:30 are poor at managing their stress. Teachers not teaching supplementary lessons and not supervising night self-study are better at managing their stress, exercise schedule, and disease prevention than teachers who are. Perceived Benefits, Perceived Barriers, and Health Promotion Behavior A Comparison between male and female teachers shows that female teachers firmly believe improved eating habits and regular exercises would greatly enhance their health. However, female teachers felt more discomfort in their working environment and in utilizing medical institutes. Teachers in the 20s and 40s perceived health benefits through regular lifestyle and exercise. Teachers with less experience feel more pressure from their work environment. Teachers below their 30s feel more dissatisfaction towards using medical facilities. Teachers working in Technical High Schools are more aware of promoting their health through regular health checkups, exercise, and lifestyle ; however, teachers from Academic High Schools feel more pressure from their work environment. Teachers not performing supplementary lessons and supervising night self-study sessions are more willing to go through regular health checkups than those performing them. Also, teachers with supplementary lessons and night self-study supervisions claimed lack of leisure time, pressure from work environment, and inconvenience in using medical facilities a deterrent to promoting their health behavior. The Relationship between Health Promotion Behavior, Perceived Benefits, and Perceived Barriers The correlation ratio between Health Promotion Behavior and Perceived Benefits shows a positive relationship. The results show that High School teachers believed regular health checkups are necessary in maintaining their health. This research shows that teachers consider the following factors important in the order shown ; regular lifestyle and exercise, prevention of geriatric diseases, improving ones eating habits. In short, teachers who are more aware of the importance of regular health checkups are also more aware of the importance of promoting their health. The correlation ratio between Health Promotion Behavior and Perceived Barriers shows negative relationship. High School Teachers believe that lack of leisure activity, pressure from work environment, familys financial burden, fear of diseases, inconvenience in using medical facilities are a deterrent in promoting their health behavior. In other words, teachers with less leisure time and negative pressures from their work environment were less active in promoting their health behavior. This study shows that High School teachers will be able to promote their health behavior by maintaining regular health checkups, lifestyle, exercise, and preventing geriatric diseases. However, teachers believed that insufficient leisure time and negative pressure from their work environment acted as a deterrent to maintaining their health behavior. Most High School teachers believe they are at present healthy, and they were actively engaged in Preventative Health Promotion. The result of this study demonstrates that External factors have a large impact on teachers, which in turn acts negatively on their Health Promotion Behavior. In order to guarantee teachers health promotion behavior, systematic health checkups and increased leisure time, improvement in their work environment are necessary. Teachers also need to take a more active interest in their health.

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Study on Value Conceptions in fundamentals of Nursing (임상간호 가치관에 관한 일 조사연구)

  • 한윤복;김영매
    • Journal of Korean Academy of Nursing
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    • v.3 no.1
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    • pp.97-104
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    • 1972
  • This study was designed to investigate differences in some aspects of value conceptions in fundamentals of nursing functions between nursing service personnel and nurse-educators. The purpose of the study was to identify the difference of value conceptions between the hospital nurses and school instructors, to contribute as a reference in strengthening the educational program in establishing nay hinder professional growth. The questionaries of this study were focused in the following aspects: 1) establishment of nursing service management system, 2) strengthening of the professionalization of nursing service, 3) hindrance in accomplishment of independent nursing functions, 4) communication skills in nurse-patient relationship, 5) activities directly related to nursing care planning, 6) communication skills in nurse-doctor relationship, 7) attitude towards taking responsibilities for patient- centered nursing approach, and 8) nursing educational approach towards preparation of professional competence in practicing independent nursing functions. 265 graduate nurses from 14 general hospitals and 88 nursing instructors from 18 schools, collegiate and diploma, were sampled. The main findings of the study were as follows; 1. Both groups responded highly in the lack of public recognition of nursing profession and hospital administrators support in establishment of nursing service management system. Further investigation is needed to define some relationship between the intrinsic and extrinsic factors which might give influence to the professional development. 2. while hospital nursing personnel responded on environmental pressure such as a heavy nursing load as the factor giving hindrance to independent nursing functions, the nurse educators responded highly on lack of nursing competence of individual nurses. An emphasis should be placed on the development of nursing interaction through professional education. If the professional model is not well established, nursing function will be limited to medical assistance. 3. 3. The patient-centered approach for nurse-patient communication had given positive respond for both group, tut lacks in team concept in problem solving process. There exist a social distance between nurses and other professional co-workers in the hospital hierarchy. 4. It was indicated that, as an intrinsic factor in the development of nursing service and nursing education, building up a philosophical basis is an utmost importance. This question is opened for further and extensive study to clarify whether existence of philosophical absence or philosophical stasis in nursing profession hinders the development.

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A Study on Role Conception and Job Satisfaction of Clinical Nurses (임상간호사의 역할지각 및 직무만족에 관한 연구)

  • Han, Chang-Bok;Mun, Heui-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.2 no.1
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    • pp.115-124
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    • 1996
  • This study was to analyze role conception and job satisfaction of clinical nurses by using questionnaire as designed by Corwin and Paula. For this study questionnaires from 422 nurses working at three university hospitals in Seoul were collected during September 11 to 24, 1995. Statistical analyses were done by the SPSS. The techniques used in this study inclued Chi-square test, Pearson correlation coefficients, t-test, ANOVA. For the reliability of the questionnaire, the Cronbach's alpha coefficient was calculated. The results of this study are as follows: 1. Role conception of the subjects Five Likert scale variables were used to measure role conception including professional aspect, task aspect, and bureaucratic aspect. The variables measured and their means are as follows; Total mean score for role conception was 4.2. Role conception from professional aspect(4.29); task aspect(4.18): bureaucratic aspect(4.09). 2. Job satisfaction of the subjects Five Likert scale variables were used to measure job satisfaction. The variables measured and their means are as follows; Total mean score for job satisfaction was 2.98. Job satisfaction from interaction (3.49): professinal status(3.19): autonomy(3.17): nurse-doctor relationship(2.90): task requirement(2.82): administration(2.32): salary (2.12). 3. The relationship between general characteristics and role conception. There were statistically significant differences in age(F=5.465, p<.000). merrital status(t=-2.70, p<.007), education(F=3.252, p<.022), work department(F=4.186, p<.003), work experience(F=4.457, p<.001), job position(F=8.141, p<.000). 4. The relationship between general characteristics and job satisfaction There were statistically significant difference In education(F=4.043, p<.003), work department(F=4.218, p<.002). job position(F=8.141, p<.000). 5. The correlation between role conception and job satisfaction It showed positive correlation that there was increased role conception, there was increased job satisfaction(r=.3092, p<.001). There were positive correlation in bureaucratic aspect, task aspect, and professional aspect in order.

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Study on Knowledge Levels of Pre-dialysis, Chronic Renal Failure Patients at Glomerular Filtration Rates (GFRs) and Their Educational Demands (사구체 여과율에 따른 투석 전 만성 신부전 환자의 질병 관련 지식 정도와 교육 요구도 조사)

  • Kim, Hye-Won;ChoiKwon, S-Mi
    • Journal of Korean Biological Nursing Science
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    • v.12 no.2
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    • pp.114-126
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    • 2010
  • Purpose: To examine the levels of the disease-related knowledge and educational demands of pre-dialysis, chronic renal failure patients at different GFRs and stages. Methods: This study used a cross-sectional survey and aimed at 116 pre-dialysis, chronic renal failure patients, who were registered and received regular treatment from December 1 to December 31, 2009 at the nephrology departments of tertiary medical centers in Seoul. Stages were classified into Stage 3, 4 and 5 depending on GFR ranges. To measure the levels of knowledge and educational demands, the tool, which were first invented by Young Ae Lim (1996) and then modified by Hyo Sun Lim (2005) to adjust the knowledge and educational demands measuring tool for hemodialysis patients to pre-dialysis patients with chronic renal failure, was used. Collected data was analyzed with the SPSS WIN 12.0 program (average, standard deviation, Pearson's correlation coefficient, t-test and ANOVA). Results: There was a significant difference in the disease-related knowledge levels of the subjects at each stage (F=24.41, p=.000). The Scheffe post hoc test confirmed that patients at higher stages had higher levels of knowledge of their disease. Also, although the results showed that patients at higher stages had higher educational demands, there was no significant difference among the groups (F=1.259, p=.288). Conclusion: As patients have different levels of knowledge of the disease and educational demands depending on their stages, it is important to develop and use a systematic education program that reflects the demands and levels of patients at each stage in order to help pre-dialysis patients with chronic renal failure with self-management and improve their quality of life.

Employment preparation and job preference of dental hygiene majoring students (치위생(학)과 졸업예정자의 취업준비 및 선호도에 관한 조사연구)

  • Hwang, Ji-Young;Yang, Song-Yi;Son, Ga-Yeon;Won, Bok-Yeon;Oh, Sang-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.677-684
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    • 2013
  • Objectives : The purpose of this study was to investigate dental hygiene majoring students on employment preparation and job preference. Methods : Subjects were 471 dental hygiene majoring students in Seoul, Gyeonggi-do, Gangwon-do, Daejeon, Chungcheong-do, Busan, and Jeju-do. Except 34 incomplete answers, 437 copies were analyzed. Results : Female accounted for 98.9%. Grade point average(GPA) ranged from 3.5 to 4.0 (38.8%). Most of the students lived in Gyeonggi (20.4%). Out of 364 students, 58.5% had hospital coordinator certificates and 36.3% had computer related certificatse. Those who studied in Gyeongnam wanted to work in Gyeongnam (90.6%), and those who studied in Seoul wanted to work in Seoul (79.7%). These results revealed the same tendencies in Gangwon(56.8%), Gyeonggi(47.6%) and Jeju(39.3%). Except for Chungbuk and Gyeongnam, most students preferred Seoul as a preferable working location (p<0.000). The reason for the preferable working locations included easy commutation (31.0%), higher income (28.5%), and brand value of hospital (22.5%). Most students chose job for easy commutation (44.8%, p<0.000) and welfare benefits (29.6%). Preference for income ranged from 15,000,000~20,000,000 Korean Won including Daejeon (75.0%), Gyeongnam (59.4%), Chungbuk (58.4%), and Jeju (56.7%). Conclusions : It is necessary to implement the various curricula development including future planning and mastery of foreign language education focused on globalization.

Comparative Analysis of Plantar Pressure between Skilled and Unskilled Players during Hockey Penalty Stroke (하키페널티 스트로크 동작 시 숙련자와 미숙련자의 족저압력 분석)

  • Lee, Jae-Youl;Lee, Joong-Sook
    • Korean Journal of Applied Biomechanics
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    • v.22 no.2
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    • pp.141-150
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    • 2012
  • This study aims to provide the basic biomechanical data on the average, maximum and distribution of plantar pressure during hockey penalty stroke by comparing five skilled and five unskilled players. Following are the conclusions. First in the case of average and maximum planter pressure during penalty stroke, the skilled players showed higher pressures at the moment of left foot landing in rear plantar of left foot and fore, rear plantar of right foot compared to the unskilled players. Also at the moment of impact, the skilled players showed higher pressures in fore, rear plantar of left foot and fore plantar of right foot compared to the unskilled. The analysis drew the conclusion that the skilled players move their center of body from fore, rear plantar of right foot to fore, rear plantar of left foot at the moment of left foot landing and impact in order to perform a quick and strong shooting. Second in the case of plantar distribution, as the skilled players put over 70% of their weights on left foot, they showed overall higher plantar pressure distributed on the outer fore, mid and rear parts of left foot plantar, in contrast with the unskilled players who showed about 50/50 distribution of weights on their right and left foot. The analysis concluded that such distribution was shown because the skilled players transferred their weights from the right to left foot effectively while the unskilled players could not do so.

The Influence of Subjective Cognition about Determinant Factors in Employment on Job Satisfaction (취업결정요인의 주관적 인지가 직무만족에 미치는 영향)

  • Jo, Yun-Seo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2168-2177
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    • 2013
  • In order to analyze the influence of subjective cognition about determinant factors in employment on job satisfaction, this study utilized The Graduates Occupational Mobility Survey(GOMS) 2010 Year and the subjects of this survey were 4,051 people who graduated from university. The results of this study were follows: First, subjective cognition about determinant factors in employment and job satisfaction were showed significant difference by gender, type of school, school location, major fields. Second, school in region, education major, the academic factor, the certification & major field factor, the personality & human connection factor were found to have positive(+) influence on the intrinsic satisfaction. Third, 2~3years college, school in region, social major, education major, technology major, natural major, medical major, academic factor, the certification & major field factor, the personality & human connection factor were found to have positive(+) influence on the extrinsic satisfaction. This study provides detailed analysis on subjective cognition about determinant factors in employment, offering new verification of work job satisfaction.

Consumers' Recognition, Knowledge and Purchase Attitude on Genetically Modified Foods in Daejeon (대전지역 소비자들의 유전자재조합식품에 대한 인식, 지식 및 구매태도)

  • Choi, Go Eun;Lee, Joon Ho
    • Korean Journal of Human Ecology
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    • v.24 no.3
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    • pp.387-406
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    • 2015
  • This study was to investigate consumers' recognition, knowledge and purchase attitude on genetically modified(GM) foods in Daejeon area. Data of 283 questionnaires were analyzed by using the SPSS(Ver. 17.0)program. Most of the subjects were women (91.9%), distributed 30's(41.7%) or 40's(31.8%), and graduated from university(41.3%). The kinds of GM foods that many subjects had known were soybean, corn, tomatoes and potatoes. The subjects answered that there were GM foods in supermarket items were 71%. Consumers' recognition on the safety of GM foods was 'somewhat anxious'(65.4%). After confirming which their purchasing item is GM foods, 'they will buy it case by case'(60.1%) or 'they will never buy it'(27.9%). The most reason of never buying GM foods was 'harmful to health'(82.3%). The first reliable information sources on GM foods were medical institutes and professionals. The knowledges about GM foods were significantly higher in 20's and 'less than 1year' of marriage duration than the other groups(p<0.05). On the purchase attitude of GM foods, the 20's responded favorably compared to other groups (p<0.01). Subjects' opinion on the necessity of development on GM foods tended to higher in 40's and 'less than 2 million won' of monthly income than the other groups. For the reason about necessity of it's development, 'nutritional, functionality and quality improvement' was 53.7%. In conclusion, many consumers regard that GM foods is not yet safe for health. Accordingly, government and research institutes should examine thoroughly and research continuously for the safety of GM foods. They must announce to consumers accurate information about GM foods.